Mental Representations of Illness in Patients with Gestational Trophoblastic Disease: How Do Patients Perceive Their Condition? (original) (raw)
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Open Journal of Medical Psychology, 2017
Gestational Trophoblastic Disease encompasses a group of pregnancy-related disorders that derive from the placenta. Taking Leventhal's Common Sense Model as a starting point, this study aims to investigate how illness perception could influence patients' psychological adaptation to these rare diseases. Thirty-seven women completed: the Illness Perception Questionnaire-Revised, the Beck Depression Inventory Short Form, the State-Trait Anxiety Inventory, and the Fertility Problem Inventory. Results show that the perception of severe illness consequences significantly predicts the level of anxiety patients reported at the time of questionnaire completion. Furthermore, mental representations of illness present a significant association with infertility-related stress. Specifically, the belief in the efficacy of the treatment results in fewer feelings of discomfort and isolation from family and social context due to infertility-related problems. Since patients' illness perception was found to have a specific impact on both anxiety and infertility-related stress, this variable should be considered in the planning of a clinical intervention.
Revista Brasileira de Ginecologia e Obstetrícia / RBGO Gynecology and Obstetrics, 2022
Objective To evaluate the emotional and clinical aspects observed in women with gestational trophoblastic disease (GTD) followed-up in a reference center (RC) by a multidisciplinary team. Methods Retrospective cohort study of the clinical records of 186 women with GTD and of the emotional aspects (EA) observed in these women by a team of psychologists and reported by the 389 support groups conducted from 2014 to 2018. Results The women were young (mean age: 31.2 years), 47% had no living child, 60% had planned the pregnancy, and 50% participated in two or more SG. Most women (n = 137; 73.6%) reached spontaneous remission of molar gestation in a median time of 10 weeks and had a total follow-up time of seven months. In the group of 49 women (26.3%) who progressed to gestational trophoblastic neoplasia (GTN), time to remission after chemotherapy was 18 weeks, and total follow-up time was 36 months. EA included different levels of anxiety and depression, more evident in 9.1% of the wom...
PloS one, 2015
Gestational Trophoblastic Disease (GTD) comprises a group of disorders that derive from the placenta. Even if full recovery is generally expected, women diagnosed with GTD have to confront: the loss of a pregnancy, a potentially life-threatening diagnosis and delays in future pregnancies. The aim of the study is to evaluate the psychological impact of GTD, focusing on perceived fertility, depression and anxiety. 37 patients treated for GTD at San Raffaele Hospital, Milan, took part in the study. The STAI-Y (State-Trait Anxiety Inventory), the BDI-SF (Beck Depression Scale-Short Form) and the FPI (Fertility Problem Inventory) were used. Patients were grouped on the basis of presence of children (with or without), age (< or ≥35) and type of diagnosis (Hydatidiform Mole, HM, or Gestational Trophoblastic Neoplasia, GTN). Differences in the values between variables were assessed by a t-type test statistic. Three-way ANOVAs were also carried out considering the same block factors. The ...
Gestational Trophoblastic Disease: An Analysis Focused On Social Determinants Of Health
International Archives of Medicine, 2016
Background: Cancer causes are varied and interrelated. It can be internal to the body, related to genetic aspects or external to the body which relates to the environment and living habits, as well as social disparities in which individuals are inserted. By realizing that social stratification exposes individuals to different risks, and therefore to a higher or lower vulnerability, which is directly related to the social context in which the individual is inserted, this study aims to understand the relationship between the social determinants of health and Gestational trophoblastic disease, according to the conceptual framework of Dahlgren and Whitehead. Methods: A descriptive study whose population was comprised of the medical records of women diagnosed with GTD. It was held in an obstetrical clinic of a Brazilian Northeast maternity of reference. The period was from June to August 2015. 119 medical records of women with GTD were identified between the years 2012-2013. To understand the relationship between the SDH and the factors related to GTD it was adopted the conceptual framework of Dahlgren and Whitehead. Findings: For each layer of the framework was made a correlation with the data found among the woman. About the first layer it was observed that the prevalence of GTD cases occurred among women aged between 13 and 19, corresponding to 49.9% (n = 59) of the women analysed. Related to the second layer, it was found that there was prevalence of oral contraceptive use with 32.8% (n = 39) of cases. The marital status that prevailed among women was single with 42% (n = 50). About the third layer it was not provided information
Social representations about the disease of women with cervico-uterine cancer
Revista de Pesquisa: Cuidado é Fundamental Online, 2016
Objetivo: Compreender a representação social de mulheres sobre o câncer de colo de útero e suas implicações para o cuidado de si. Método: Estudo de natureza qualitativa de abordagem descritiva que utilizou como aporte teórico as representações sociais, tendo a entrevista como técnica de coleta de dados das informações. Trabalhamos com 35 mulheres do ambulatório de um hospital público de referência em oncologia. Resultados: Dentro dos discursos observou-se que o conceito de câncer de colo de útero foi muito relacionado com o fator sentimental, imperando o medo e a tristeza. Os depoimentos mostraram também que as mulheres focaram a sexualidade e o tratamento como mudança de vida no decorrer da doença. Conclusão: O câncer de colo de útero gera uma grande mudança de vida nas mulheres que passam pelo problema, não apenas pelo fator físico, mas muito pelo lado subjetivo no enfrentamento da doença.
Psychological Implications of Cancer Treatment in Pregnancy
Revista Romaneasca pentru Educatie Multidimensionala, 2014
This article involves some theoretical aspects of a very difficult topic. Emergence and treatment of cancer in pregnancy is a challenging task for specialists who are supposed to offer treatment, care and support therapy. Psychotherapy also has some distinct features due to the specific characteristics of a pregnant woman. Given these cases are rare, the importance of promoting this subject in the psychologist's and physician's world is very important. The idea of progress is based on this kind of work, related to very difficult and specific cases, which implies a collaboration in pluridisciplinary teams. General psychological aspects, the announcement of diagnosis, psychological phases in regaining balance during therapy, psychological effects during treatment, mobilization of the fighting spirit and a reduction in depression and anxiety are only some of the important aspects we propose here.
REACTIONS TO PRENATAL DIAGNOSIS: An Analysis of 87 Interviews
American Journal of Orthopsychiatry, 2010
Prenatal diagnosis, which enables certain fetal anomalies to be detected in utero, is becoming increasingly common among the growing number of women who, through choice or circumstance, experience pregnancy late in their childbearing life. Based on interviews with 62 women and 25 of their male partners, psychological responses to amniocentesis are discussed with respect to the medicalization of pregnancy, differences in reactions of women and men, the foreknowledge of the child's sex, the significance of pregnancy after 40, and the impact of an unfavorable diagnosis.
Patients with Gynecological Tumor Diseases and Their Attitudes
2020
The present study is based on secondary data analysis with data assessed during routine care about attitudes of patients with gynecological tumor diseases towards Integrative Medicine (IM). The participants were patients with gynecological tumor diseases. From July 2016 to January 2017 147 patients from one university oncology outpatient clinic were asked for participation. A standardized questionnaire was used which evaluates sociodemographic data, lifestyle behavior, complaints and concerns and attitudes towards IM and the communication behavior between physicians and patient about IM. Descriptive statistics were computed. A response rate of 35% (52/147 participants) was observed for the study. More than three-quarters (78%) had breast cancer and a small number had endometrial cancer. More than half of the participants practiced physical activities regularly. Fatigue and mucosal dryness were two of the most complaints during chemotherapy. In general, 69% of our patients were highl...